Inspection on 05/06/07 for Beech Court

This inspection was carried out on 5th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Beech Court 25/09/08

Beech Court 16/06/06

Beech Court 22/09/05

Beech Court 18/04/05

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Beech Court 52 Church Lane Selston Nottinghamshire NG16 6EW Lead Inspector Jayne Hilton Key Unannounced Inspection 5th June 2007 07:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Beech Court DS0000062132.V337698.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Beech Court DS0000062132.V337698.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beech Court Address 52 Church Lane Selston Nottinghamshire NG16 6EW Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01773 581450 01773 581445 beechcourtcare@yahoo.co.uk Mr Alan Peter Pearce Mrs Lesley Pearce Mr Alan Peter Pearce Care Home 23 Category(ies) of Dementia - over 65 years of age (23), Old age, registration, with number not falling within any other category (23) of places Beech Court DS0000062132.V337698.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Beech Court Care Home is registered to provide personal care for male and female service users who fall within the following categories: Old age not falling within any other category - OP (23) 2. 3. Dementia - over 65 years of age DE(E) (23) To accommodate the person named in variation application number V33681 who has dementia and is under the age of 65 years The maximum number of persons to be accommodated in Beech Court Care Home is 23 16th June 2006 Date of last inspection Brief Description of the Service: Beech Court, 52 Church Lane Selston, Nottinghamshire is a 23 bedded, care home offering personal care for older people with dementia. The building is a converted rectory with a purpose built extension and is on two floors. There is a passenger lift to the first floor. The home has an easy accessed garden and is located in a quiet corner of the village opposite the church. Information about fees provided on 08-05-07 range from £332.00-£352. Extras payments are needed for hairdressing and Chiropody. The registered Provider provides a fully funded day trip out on an annual basis. Beech Court DS0000062132.V337698.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users and their views on the service provided. This process considers the provider’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. This inspection took place over six daytime hours. The main method of inspection used was called ‘case tracking.’ This involves selecting two service users and looking at the quality of the care they receive by talking to them, examining their care files and discussing how support is offered to them by staff members. Many of the people who live at this home have a very limited ability to understand and communicate. Therefore many judgements in this report are from observation and reading service users’ records and documents. Four service users were spoken with during the inspection. Four members of staff and the manager were also spoken with as part of this inspection, documents were read and medication inspected to form an opinion about the quality of the care provided to service users. Prior to the inspection six survey questionnaires were returned by, service users and relatives. Also a questionnaire was completed by the provider and returned before the inspection. Information gathered from all of these sources has been included within the report. A copy of the inspection report was seen in the home and service users are informed how to access this in the service user guide. A review of the registration certificate was undertaken and the provider agreed to accept a proposal to remove the conditions of registration. A recommendation has been made for this and is being considered currently by the Commission For Social Care Inspection Registration Team. What the service does well: Service users have the information they need about the home, their needs are being met and the overall outcome for service users is positive. Beech Court DS0000062132.V337698.R01.S.doc Version 5.2 Page 6 Service users say they are treated with respect and their privacy is upheld and their health care and personal needs are mostly met. Service users find the routines and activities in the home meet with their lifestyle needs and say that they enjoy their food. Service users are confident about making a complaint should they have to and say they feel safe. Service users live in a comfortable clean and safe environment, which is well run with in the best interests of service users. The health, safety and well being of staff and service users are protected and the numbers and skill mix of staff meets service users’ needs. Recruitment procedures were satisfactory and ensure service users are protected from harm. What has improved since the last inspection? The combined statement of purpose and service user guide document now meet the Care Home Regulations. There is some improvement to the content of care plans. The new provider has commenced a programme of refurbishment of the home and is keen to further improve the standard of accommodation and facilities of the home. A new patio area has been created. A fist floor bathroom and shower room have been refurbished to improve the facilities for service users. A smoking room has been created also for use by service users who choose to smoke. The provider has addressed the requirements set around Health and Safety practices at the previous inspection. Beech Court DS0000062132.V337698.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Beech Court DS0000062132.V337698.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Beech Court DS0000062132.V337698.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2, 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have the information they need about the home, their needs are being met and the overall outcome for service users is positive. The home does not provide an intermediate care service EVIDENCE: The combined statement of purpose and service user guide was inspected and the document found to meet the Care Home Regulations. Service users and their relatives confirmed that they received good information when looking around and on moving in to the home, that the procedure was not rushed and made to feel welcome and all questions answered. Beech Court DS0000062132.V337698.R01.S.doc Version 5.2 Page 10 The terms and conditions document has been prepared and there was evidence that this is now in use. Not all service users had been informed in writing that the home could meet their needs and therefore a recommendation made for this to be consistent practice. Two service user’s files examined had relevant assessment detail, and these had been reviewed to reflect the service users changing needs. Attention to detail is needed to ensure that the information is relevant and fully up to date. The assessment/long term care plans were endorsed by the service user or representative. All service users spoken with reported that they were happy with the care provided and service users were observed to be relaxed and comfortable throughout the inspection. The Providers have many years experience in care provision and state that they have cared for service users with dementia type illness in their other care home, however Beech Court is more specialised provision and the provider is developing staff to meet the varied needs of the service users. Staff members have undertaken training in dementia care and activities for people with dementia. Laminated posters are attached to all communal rooms, which identify the room in picture and word form and all service users rooms are numbered and named to aid service users with Dementia with orientation around the home. Further development of colour cues; tactile surfaces and stimulating/activity objects should be explored. Comments from relatives include the following “ staff are always friendly and helpful dad is always clean and well cared for” “They could do with more staff at certain times” “My relative has only been at the home since Jan 2007 we have been pleased with our relatives response to the home no concerns” Beech Court DS0000062132.V337698.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users’ health care and personal needs are mostly met but improved practice of detailed documentation is recommended. Some practices in place for the management of medicines should be reviewed to ensure a fully safe system is in place at all times. Service users are treated with respect and their privacy upheld. EVIDENCE: Two care plan files were examined and there was evidence that generally, direction as to how to meet the needs of service users is detailed and is in the form of identified risks and care planning. There were, however some areas, which were not fully satisfactory and the manager was advised as to the following: Care plans should detail how diabetes will be managed and whether the condition is controlled by diet and/or medication. Beech Court DS0000062132.V337698.R01.S.doc Version 5.2 Page 12 One service users plan did not clearly demonstrate responsibility of which shift of staff was responsible for ensuring the service user was supported with appropriate footwear or whether this action was in fact still needed. One service user was identified as ‘at risk’ on the nutritional screening tool; [i.e. Nutritional risk assessment] although records and discussion with the care manager showed that the situation was being monitored appropriately. A specific care plan should be implemented for documenting action and evaluating this. There were good records kept regarding outside professional input such as GP and district nurse visits. Observations made of staff, the providers and care manager interacting with service users provided evidence of mutual respect and kindness. Records were in place where service users were at risk of falls. One service user’s care plan identified that they were at risk of falls and should not be left unsupervised. During the inspection the service user was left unsupervised for long periods, including sitting outside on the patio. Although the service user did not attempt to walk around the home unaided the provider/manager was asked to review how staff are deployed and to ensure that service users identified to be at risk of falls are supervised at all times wherever possible. Observation of administration of medication was satisfactory in respect of staff signing the record after visibly observing the medication being taken. The staff member was observed to check the prescription with the tablet container and service users asked if they would like any pain relief. However practice would be safer for service users, if the chart was checked at the point of popping rather than after all tablets had been dispensed into the pot. Observation of practice where service users refuse medication was observed and appropriate support and remedial action promptly taken. The medication charts [MAR] were examined. Several handwritten prescription entries on the MAR were not signed or indeed witnessed as correct leaving opportunity for error. One service users record indicated two possible errors with crossings out of signatures. The Provider/manager was requested to investigate the matter to ascertain if the error constituted reporting under regulation 37and /or was due Beech Court DS0000062132.V337698.R01.S.doc Version 5.2 Page 13 to inappropriate practice of staff signing before visibly observing the medication being taken. Beech Court DS0000062132.V337698.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users find the routines and activities in the home meet with their lifestyle needs and say that they enjoy their food. EVIDENCE: Although there is not a pre devised programme there was evidence of a wide range of activities provision in the home, service users made comments to enjoyable trips and walking out. The provider stated that they prefer to be more spontaneous with activities, which suits the service users needs. On the day of the inspection the cook and care staff was observed supporting service users with baking scones. Records and discussions confirmed that this was not a one off and that service users are involved in domestic tasks within the home as appropriate and within a risk management framework. Beech Court DS0000062132.V337698.R01.S.doc Version 5.2 Page 15 A service user confirmed that they are supported to attend church when they wish to go and others spoke about potting up plants. Service users were observed to move freely around the home. Bedrooms were observed to be personalised and contain service users’ own personal possessions that had been brought with them to the home. Service users confirmed they went to bed and got up when they chose to. Information on advocacy is available and there was a notice on the notice board informing visitors that service users will be asked if they wish to receive visitors and if not this will be respected. A relative commented: “They keep my relative warm, well fed and comfortable they have made a number of improvements in the past two years and appear to have a rolling plan, we are happy with the care my relative receives” The menu was set over four weeks, evidence was handwritten and the cook informed service users of the daily meal options on the menu board in the dining room. The menu details an alternative choice [jacket potato, soup or sandwiches] but the menu board in the dining room did not offer an alternative for the main meal of the day. The serving of breakfast was observed and service users were asked by staff, which cereal they would prefer and service users confirmed that this was usual practice. Service users reported that they did not have a choice or knew what was on offer for the main meal and that they wouldn’t ask for an alternative if they did not fancy the item on the menu There was no pictorial format of the menu, so service users who cannot read would not benefit from the menu information on the notice board. Service users were observed to be relaxed and happy at mealtimes and said the food was lovely and staff and service users said the variety of food had been improved recently. There is much scope for innovative practice to enable informed choice of menu for service users and to provide more appetising alternatives such as vegetarian options and some \ideas were exchanged with the cook and provider. Beech Court DS0000062132.V337698.R01.S.doc Version 5.2 Page 16 Beech Court DS0000062132.V337698.R01.S.doc Version 5.2 Page 17 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are confident about making a complaint should they have to and say they feel safe. Service users are protected from harm. EVIDENCE: The complaints procedure is issued with the service user guide and was displayed / cited close to the visitor’s book. It meets the standard and informs the reader that all complaints will be responded to within 28 days. Service users and relatives all confirmed they would make a complaint through staff if they were unhappy about anything. Two complaints had been made the home since the last inspection. One was in respect of an error made in a service users financial records and another was in respect of a dispute with a visiting professional. Both were assessed as appropriately dealt with. Service users reported that they felt safe in the home. Training is provided in Safeguarding Adults. There have been no issues since the last inspection. Beech Court DS0000062132.V337698.R01.S.doc Version 5.2 Page 18 There is a policy for restraint, this needs to be expanded to include use of bedrails, lap belts etc Beech Court DS0000062132.V337698.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a comfortable clean and safe environment. EVIDENCE: The new provider has commenced a programme of refurbishment of the home and is keen to improve the standard of accommodation and facilities of the home. The small lounge has been fully refurbished and creates a homely and quiet sitting area, which overlooks extensive gardens. The garden area is pleasant and spacious and this is to be made more accessible for service users and extended to provide safe and secure outdoor space. A new patio area has been created. Beech Court DS0000062132.V337698.R01.S.doc Version 5.2 Page 20 The provider reported that there are plans to extend the car park and refurbish the dining room and main lounge, including replacement of carpets, and the ground floor bathroom to be refurbished in the very near future. A first floor bathroom and shower room have been refurbished to improve the facilities for service users. A smoking room has been created also for use by service users who choose to smoke. The fire officer visited the home in March 07 and the Environmental Health Officer visited the home in November 2006. Recommendations made by these services had been actioned. The laundry facilities meet service users needs and staff were observed to wear protective clothing as necessary. Policies and procedures are in place and staff are trained in infection control. The home smelled fresh and appeared clean and hygienic. Beech Court DS0000062132.V337698.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The numbers and skill mix of staff meets service users’ needs. Recruitment procedures were satisfactory and ensure service users are protected from harm. EVIDENCE: Staffing rotas demonstrated sufficient staffing numbers. Three care staff are provided on daytime and evening shifts and two waking staff on at night. Laundry, domestic, handyperson and catering hours appear sufficient. A good level of training is provided; an annual staff-training plan was seen. However not all staff have been provided with training in the management of diabetes and this is recommended to ensure that all service users needs are fully met. Beech Court DS0000062132.V337698.R01.S.doc Version 5.2 Page 22 A programme of training is provided in Equality and Diversity Manual handling refresher training was being held at the home on the day of the inspection. An observation of staff practices was discussed with the provider/manager in respect of manual handling techniques. The provider reported that 67 of staff hold or have almost completed NVQ training of at least level 2. Induction to skills for work is provided. A sample of four staff files was examined, including staff employed by the provider’s sister home. The staff files were satisfactory. Recruitment practices are robust. Supervision and training records were also evident in the files. Staff spoken with were not sure whether they had received a copy of the General Social Care Councils Code of conduct booklet. The Provider/manager is considering obtaining signature of staff for its receipt Beech Court DS0000062132.V337698.R01.S.doc Version 5.2 Page 23 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33.35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run with in the best interests of service users. The health, safety and well being of staff and service users are protected. EVIDENCE: The registered manager is also the registered provider, who has many years experience in the caring profession and in running and managing a care home. He has a NVQ 4 and there was evidence that the registered manager keeps up to date with other training. Relatives praised the management of the home. Beech Court DS0000062132.V337698.R01.S.doc Version 5.2 Page 24 Quality monitoring systems are being continually developed. A quality consultative committee has been organised. Examples were seen of changes made within the service as a result of surveys undertaken. A sample of service users’ financial records was examined and found to be satisfactory Health and safety policies were in place. The provision of training is good and the servicing and maintenance of equipment seen to be satisfactory. Beech Court DS0000062132.V337698.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Beech Court DS0000062132.V337698.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13[2] Requirement All handwritten entries made on the medication record must contain all details of the prescription [dosage and details of administration] and be witnessed by two competent staff members as correct. Regulation 13[2] states; The registered person shall make arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines into the care home. An improved system for the safe storage and transportation of medication is required as the current system in use may place service users at risk. Timescale for action 05/08/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Beech Court DS0000062132.V337698.R01.S.doc Version 5.2 Page 27 No. 1. 2. Refer to Standard OP2 OP8 Good Practice Recommendations Not all service users had been informed in writing that the home could meet their needs and therefore a recommendation made for this to be consistent practice. Review the service users plan, which did not clearly demonstrate responsibility of which shift of staff was responsible for ensuring the service user was supported with appropriate footwear or whether this action was in fact still needed. Care plans should detail how diabetes will be managed and whether the condition is controlled by diet and/or medication. One service user was identified as at risk on the nutritional screening tool, although records and discussion with the care manager showed that the situation was being monitored appropriately; A specific care plan should be implemented for documenting action and evaluating this. Review how staff are deployed and to ensure that service users identified to be at risk of falls are supervised at all times wherever possible. There is much scope for innovative practice to enable informed choice of menu for service users and to provide more appetising alternatives such as vegetarian options and some \ideas were exchanged with the cook and provider. There is a policy for restraint but this needs to be expanded to include use of bedrails, lap belts etc. Attend to the worn enamel patch on the bath and on the rails around toilets Provide all staff with training in Diabetes management. 3 4. OP8 OP8 5. 6. OP8 OP15 7. 8. 9. OP18 OP19 OP30 Beech Court DS0000062132.V337698.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Beech Court DS0000062132.V337698.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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